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No. 7050438 Name CACAL, Jimmy Acosta residing at 3590 - Ave - San Diego,Calif Date of birth 8/6/97 Date of order of admission 7/18/52 Date certificate issued July 21,1952 by the Superior Court at San Diego, Calif. Petition No. 16620 Alien Registration No. 5304820 January (Completé and Acasta true signature of holder) Cacae